Change Dermatology Pllc

NPI #1184385130 in Brentwood, Tennessee

Provider Information

NPI Number: 1184385130
Entity Type: Organization
Organization Name: Change Dermatology Pllc
Primary Specialty: Dermatology
Enumeration Date: Jan 3, 2022
Last Updated: Jan 3, 2022

Practice Location

Address: 7065 MOORES LN STE 100&110
City: Brentwood
State: Tennessee
ZIP Code: 37027-7998
Phone: (239) 233-0562

Authorized Official

Name: DAVID CAMBIO
Title: MANAGER
Phone: (239) 233-0562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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